Sarah Bush Lincoln Health Center

NPI Registration Record

Provider / Organization	NPI	Date Certified
SARAH BUSH LINCOLN HEALTH CENTER	1811199532	2022-09-26

The organization Sarah Bush Lincoln Health Center is registered with the National Plan and Provider Enumeration System (NPPES) and has the assigned NPI of 1811199532. Registration indicates Sarah Bush Lincoln Health Center is a provider of services with a specialization in Ambulatory Health Care Facilities, Clinic/Center (Clinic/Center: Rural Health, ) (FQHC/Birthing Cntr/Health Dept/Home Health/RHC/Priv Duty Nurse, ) (Clinic/Center Rural Health, Ambulatory Health Care Facilities) (Clinic/Center, )

Other Names:

FCH Rural Health St. Elmo
Sarah Bush Lincoln Fayette County Hospital

Entity Type	Organization

Provider Organization	SARAH BUSH LINCOLN HEALTH CENTER
Other Provider Organization	FCH RURAL HEALTH ST. ELMO
Practice Office Address	515 N MAIN ST SAINT ELMO, IL US
Practice Office Telephone	6188299200
Practice Office Fax	6188299309
Mailing Address	515 N MAIN ST SAINT ELMO, IL 624581638 US
Business Telephone	6188299200
Business Fax	6188299309
Authorized Official	SHERI HOPKINS, CHIEF COMPLIANC 6182835444

HPT Codes

Code	Practice	License No State
261QR1300X PRIMARY	Ambulatory Health Care Facilities Clinic/Center Clinic/Center: Rural Health FQHC/Birthing Cntr/Health Dept/Home Health/RHC/Priv Duty Nurse Clinic/Center Rural Health Ambulatory Health Care Facilities Clinic/Center	042007886 IL

OPI Codes

371363933001

MEDICAID

There has been an issue connecting to the database. The bells are ringing and alarms are sounding. Please try again in a few short minues and hopefully the problem will be resolved.SQLSTATE[HY000] [2002] Connection refused